Mayrhuber Laura, Rietveld Thomas, de Vries Wiebe, van der Woude Lucas H V, de Groot Sonja, Vegter Riemer J K
Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Swiss Paraplegic Research, Nottwil, Switzerland.
Front Rehabil Sci. 2022 Apr 7;3:862233. doi: 10.3389/fresc.2022.862233. eCollection 2022.
Wheelchair tennis players are prone to develop shoulder injuries, due to the combination of wheelchair propulsion, overhead activities and daily wheelchair activities. A methodical literature search was conducted to identify articles on shoulder complaints in wheelchair tennis, wheelchair sports and tennis. The aims were to identify (1) type of shoulder complaints; (2) possible risk factors for the development of shoulder injuries; (3) musculoskeletal adaptations in the shoulder joint in wheelchair tennis players. Fifteen papers were included in this review, five on wheelchair tennis, three on wheelchair sports and seven on tennis. Type of shoulder complaints were acromioclavicular pathology, osteoarthritic changes, joint effusion and rotator cuff tears. Possible risk factors for the development of shoulder injuries in wheelchair tennis are overhead movements, repetitive activation of the anterior muscle chain and internal rotators, as well as a higher spinal cord injury level. Muscular imbalance with higher values for the internal rotators, increase in external range of motion, decrease in internal range of motion and reduced total arc of motion were the most common proposed musculoskeletal adaptations due to an unbalanced load. These presented risk factors and musculoskeletal adaptations might help researchers, coaches and wheelchair tennis players to prevent shoulder injuries.
轮椅网球运动员由于轮椅推进、头顶上方活动和日常轮椅活动的综合作用，容易出现肩部损伤。我们进行了系统的文献检索，以查找有关轮椅网球、轮椅运动和网球中肩部问题的文章。目的是确定：（1）肩部问题的类型；（2）肩部损伤发生的可能风险因素；（3）轮椅网球运动员肩关节的肌肉骨骼适应性变化。本综述纳入了15篇论文，其中5篇关于轮椅网球，3篇关于轮椅运动，7篇关于网球。肩部问题的类型包括肩锁关节病变、骨关节炎变化、关节积液和肩袖撕裂。轮椅网球中肩部损伤发生的可能风险因素包括头顶上方动作、前侧肌肉链和内旋肌的反复激活，以及较高的脊髓损伤水平。由于负荷不平衡，内旋肌值较高、外展活动范围增加、内收活动范围减小以及总运动弧减小导致的肌肉失衡是最常见的肌肉骨骼适应性变化。这些呈现出的风险因素和肌肉骨骼适应性变化可能有助于研究人员、教练和轮椅网球运动员预防肩部损伤。
